Tamara Olt, S.C., Inc
LBN: Tamara Olt, S.C., Inc
Tamara Olt, S.C., Inc is an health care organization with primary practice located at 5401 N Knoxville Ave Suite 109, Peoria IL 61614-5098. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Gynecology is the primary health care specialty.
Tamara Olt, S.C., Inc can be contacted via phone (309) 692-2805, or through Olt, Tamara via phone (309) 692-2805.
Contact Information
Primary practice address
5401 N Knoxville Ave Suite 109
Peoria IL 61614-5098
Phone: (309) 692-2805
Fax: (309) 692-1913
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | Illinois | |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | Illinois |
Profile Details
| NPI number | 1881786622 |
|---|---|
| LBN Legal business name | Tamara Olt, S.C., Inc |
| DBA Doing business as | |
| Authorized official | Olt, Tamara Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881786622 | NPPES |
| Illinois | Other | 07232119 | BCBS GROUP NUMBER |
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